Individual
MR. CASEY A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2403 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4033
(706) 866-7700
Mailing address
2403 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4033
(706) 866-7700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004103
GA
Other
Enumeration date
08/31/2019
Last updated
08/31/2019
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